Diabetes in Canada

EVALUATION AND ORDER FORM

We hope that this report has provided you and your organization with useful information on the status of diabetes in Canada. Your feedback will enable us to improve and expand future reports.

Please let us know:

• what you found useful in this report and would like to see updated in future
  reports
  
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• what additional information you would like to see in future reports (e.g.,
  additional analyses, graphs, etc.)
  
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• any related information requests  
  
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Sender:
Name/Title: _____________________________________________________________

Organization: _____________________________________________________________

Address: _____________________________________________________________

_____________________________________________________________

_____________________________________________________________

Phone: (______) ________________    Fax: (______) ________________

Mail to:
Diabetes Division Bureau of Cardio-Respiratory Diseases and Diabetes
Laboratory Centre for Disease Control,
Health Protection Branch
Health Canada
Postal Locator #1918C3
Jeanne Mance Bldg., Tunney's Pasture Ottawa, Ont. K1A 0K9       

Or e-mail:  bcrdd@hc-sc.gc.ca

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